Dr Mark Stanley Wasserman, MD in Sullivan, MO - Medicare Obstetrics & Gynecology

Dr Mark Stanley Wasserman, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Sullivan, Missouri. His current practice location is 965 Mattox Dr, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 860-6000.

Dr Mark Stanley Wasserman is licensed to practice in Missouri (license number R2F91) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225130933.

Contact Information

	Dr Mark Stanley Wasserman, MD
	965 Mattox Dr, Sullivan, MO 63080-2365
	(573) 860-6000
	(573) 860-6016

Map and Direction

Physician's Profile

Full Name	Dr Mark Stanley Wasserman
Gender	Male
Speciality	Obstetrics & Gynecology
Location	965 Mattox Dr, Sullivan, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225130933
Provider Enumeration Date: 09/02/2006
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2163411133
Enrollment ID: I20040506001315

Medical Identifiers

Medical identifiers for Dr Mark Stanley Wasserman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225130933	NPI	-	NPPES
036104995	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	R2F91 (Missouri)	Primary
207V00000X	Obstetrics & Gynecology	036104995 (Illinois)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark Stanley Wasserman allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Stanley Wasserman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mark Stanley Wasserman, MD 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791	Dr Mark Stanley Wasserman, MD 965 Mattox Dr, Sullivan, MO 63080-2365 Ph: (573) 860-6000

Reviews and Comments

Obstetrics & Gynecology Doctors in Sullivan, MO

Dr. Roger J. Rembecki, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 Fax: 573-860-6016
Yasuo Ishida, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 102 Progress Pkwy # A, Sullivan, MO 63080 Phone: 573-468-6011 Fax: 573-468-7868
Dr. Joseph B Shumway, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 Fax: 573-860-6016

Dr Mark Stanley Wasserman, MD - Medicare Obstetrics & Gynecology in Sullivan, MO